Center for Athletic Medicine LTD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36060229 Issued in IL

Legal business name

CENTER FOR ATHLETIC MEDICINE LTD

Practice address

830 W Diversey Pkwy
Suite 300
Chicago, IL 60614-1454

Phone

(773) 248-4150

Fax

(773) 248-4291

NPI assigned

Jun 6, 2007

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Preston M Wolin, M.D.NPI 1336145036

Title

Medical Doctor

Phone

(773) 248-4150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Preston Michael Wolin, MD

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1336145036
  Medicare reassignment NPD Authorized official
• Alex Sikora, PT, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1558973354
  NPD
• Nathan Jent, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1184296303
  NPD (past)
• Jeremy Shane Stevens, M.D.

  • Orthopaedic Surgery Physician
  • Mattoon, IL
  • NPI 1306843446
  NPD (past)
• Morgan F Wolin

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1083937791
  NPD (past)
• Ayman Fathalla, MD

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1780067348
  NPD (past)
• Brittney Tunon

  • Physician Assistant
  • Pomona, CA
  • NPI 1003415167
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1083817407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W DIVERSEY PKWY",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141454",
            "telephone_number": "773-248-4150",
            "fax_number": "773-248-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W DIVERSEY PKWY",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141454",
            "telephone_number": "773-248-4150",
            "fax_number": "773-248-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ATHLETIC MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "WOLIN",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "773-248-4150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "36060229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center Focused Therapy LLC
• Center for Addictive Problems, Inc
• Center for Advanced Medicine and Surgery, SC
• Center for Applied Psychology and Forensic Studies
• Center for Asthma & Allergy, SC
• Center for Autonomic Medicine in Pediatrics
• Center for Behavioral Medicine
• Center for Behavioral Medicine
• Center for Behavioral Medicine LTD
• Center for Behavioral Medicine, LTD (ChicagoCBM)

• Orthopaedic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.